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1215388137
NINA NICOLE TRISILLA
PEORIA, IL
NPI
1215388137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.014321)
Enumeration Date
2016-06-22
Last Update Date
2016-06-22
Business Address
-- NINA NICOLE TRISILLA FNP-C
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-624-0093
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Mailing Address
-- NINA NICOLE TRISILLA FNP-C
530 NE GLEN OAK AVE CLINICAL DECISION UNIT
PEORIA, IL 61637-0001
Phone number: 309-624-0093
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